Provider Information for 1164899910
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Mr. NOAM DINOVITZ
Sex: Male
NPI: 1164899910
Last Updated: 2019-05-15
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1164899910 | ||||||||
| Enumeration Date | 2015-08-27 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 701 W PRATT ST BALTIMORE, MD 21201-1023 United States Phone: 410-328-6668 | Fax: | ||||||||
| Primary Practice Address | 701 W PRATT ST BALTIMORE, MD 21201-1023 United States Phone: 410-328-6668 | Fax: | ||||||||
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